中国ICU护士预防中心线相关血流感染的知识、态度和实践:一项多中心、横断面研究

IF 3 3区 医学 Q1 NURSING
Xiaofeng He, Chunlei Li, Zhe Wang, Mayi Yang, Tianjun Zhou, Ying Gu, Yuxia Zhang, Wenchao Wang, Yan Hu
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引用次数: 0

摘要

背景:在全球范围内,中心线相关血流感染(CLABSI)的发生率普遍下降。尽管如此,CLABSI仍然是发展中国家医院icu中常见的卫生保健相关感染。目的:了解中国ICU护士预防CLABSI的知识、态度和行为。研究设计:设计了一项多中心横断面研究。通过文献回顾和专家咨询,采用自行设计的问卷来评估ICU护士的知识、态度和实践。在中国广泛使用的电子数据收集工具,被称为文字星平台,促进了通过互联网收集数据。在2024年5月1日至2024年6月30日期间,共有来自中国22家大型三级公立医院的989名ICU护理人员完成了在线调查。结果:ICU护士知识、态度和行为良好(反应准确≥80%)的比例分别为31.14%、45.50%和89.99%。ICU护士的知识和态度主要受年龄、ICU经验和专业水平的影响,而实践差异主要受性别和文化程度的影响。此外,护理项目或流程、既往培训经历和是否需要更多信息与护士的知识、态度和实践显著相关。结论:我国ICU护士对预防CLABSI的知识水平和态度存在不足。研究结果表明,安排创新培训、发挥经验丰富护士的领导作用和转变安全文化,可能有助于提高ICU护士的知识、态度和实践。与临床实践的相关性:本研究结果表明,政府、护理协会和医院本身应提供针对性的培训计划,改善安全文化,探索动态评估方法,以促进中国ICU护士与预防CLABSI相关的最佳知识、态度和实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, Attitude and Practice Concerning Central Line-Associated Bloodstream Infection Prevention Among ICU Nurses in China: A Multicenter, Cross-Sectional Study.

Background: Globally, there has been a general decline in the occurrence of central line-associated bloodstream infection (CLABSI). Still, CLABSI remains a common healthcare-associated infection in the ICUs of hospitals in developing countries.

Aim: The aim of the study was to assess knowledge, attitude and practice among ICU nurses in China concerning CLABSI prevention.

Study design: A multicentre, cross-sectional study was designed. A self-designed questionnaire, informed by a literature review and expert consultation, was utilised to assess the knowledge, attitude and practice of ICU nurses. The widely used electronic data collection tool in China, known as the Wen Juan Xing platform, facilitated data gathering via the internet. A total of 989 ICU nursing staff from 22 large tertiary public hospitals in China completed the online survey between 1 May 2024 and 30 June 2024.

Results: The proportion of ICU nurses with good (≥ 80% accurate response) knowledge, attitude and practice was 31.14%, 45.50% and 89.99%, respectively. ICU nurses' knowledge and attitude were mainly influenced by their age, ICU experience and professional level, meanwhile, their practice differences were found by their gender and educational level. In addition, nursing programs or processes, previous training experience and whether need more information were significantly associated with nurses' knowledge, attitude and practice.

Conclusions: In summary, Chinese ICU nurses demonstrated inadequate levels of knowledge and attitude towards CLABSI prevention. Study findings suggest that arranging training in refreshing, taking advantage of experienced nurses' leading roles and changing safety culture might be useful in enhancing ICU nurses' knowledge, attitude and practice.

Relevance to clinical practice: The results of this research imply that the government, nursing associations and hospitals themselves should provide tailored training programs, improve safety culture and explore dynamic assessment methods to promote optimal knowledge, attitude and practice relevant to CLABSI prevention among ICU nurses in China.

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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
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